......... If dislocating a shoulder could cause diabetes. I cant think of a reason why it would and would have dismissed it by two students on the same course said they had heard of this happening.



Discuses.

As someone who has dislocated their shoulder four times, I am interested in this thread.

Considering the pathology of it there is no possible link between a dislocation and developing diabetics.

I suspect what happened is individuals were diagnosed as having diabetics after a dislocation episode and non hcp people leaped to conclusions.

I delivered a training course quite a few months ago where one of the delegates developed Type I diabetes within a month of his twin sister. Their parents had undergone an acrimonious divorce 2 months prior to initial diagnosis. Allegedly (I stress) this young mans specialist had suggested that emotional trauma may have been a factor in triggering a condition he and his sister were already predisposed to.



I have to add that I have had other delegates on other courses who claim to have friends or relatives who had developed diabetes after injury, this may well be coincidental of course and I do take these 3rd hand anecdotes with a pinch of salt, however there's usually an exception to a rule kicking about somewhere. The great god Google does have some articles on the topic, but nothing particularly definitive that I can find.



Paul  

Probably a mix of both, type 1 diabetes causing decreased bone mass, making fractures and dislocations more likely crossed with taking a blood sugar reading is part of your basic obs both pre-hospitally and once your in the hospital so is likely to flag up diabetes if the reading is out with the normal parameters. Its not surprising if this happens for people to think that the diabetes is new and came with the injury instead of realising they have probably been living with it undiagnosed and not noticing the various signs and symptoms that may or may not be there.



Its always fun when you get a totally out of the blue question like that, and much more pressure when its backed up by another student lol



Paul

Increased glucose level during stress is result of sympatic nervous system activation and raised production of catecholamines (adrenalin and noradrenalin) and cortisol that stimulate processes of glyconeogenesis, glycogenolysis and lipolysis. These hormones are responsible for insulin resistance, on receptor and post receptor level, so there are in the same time hyperglycemia, hyperinsulinemia and insulin resistance.Numerous studies have shown that stress hyperglycemia was common in acute critically illnesses, even in patients without diabetes mellitus. Stress hyperglycemia occurs in 5−30% of patients with apoplexia, myocardial infarction, sepsis, trauma and other critically illness  and it correlates with poor outcome.  Hope this helps  a bit. KC